CONCORDANCE IN THE RESULTS OF CONTROL INTAKE PERFORMANCE OF 72 H BY DIFFERENT HEALTH PROFESSIONALS IN A TERTIARY HOSPITAL]

Introduction: the nutritional screening CIPA is positive when it fulfills one of the following parameters: Control food Intake (CI) 72 h<50%; albumin <3 g/dl; Body Mass Index (BMI) <18,5 kg/m2or Mid-Upper Arm Circumference (MUAC) -422,5 cm (if BMEI cannot be determined). The only parameter no totally objective is the CI so that this study seeks to reinforce its validity. Objectives: analyze the existing concordance among different health professionals when assessing a CI of 72 h. Materials and method: retrospective study of patients admitted in hospitalization wards (February-October 2014). Variables considered: age, sex, health service, CI of 72 h and type of diet. The aim of CI is to assess the amount of food consumed, differing between superior or inferior intakes to 50%. It is analyzed the concordance of the results CI determined by a doctor, a nurse and a nutritionist (gold standard) by the coefficient Kappa (K). Subsequently the sensitivity (S) and specificity (Sp) of positive CI were computed. Results: 176 control of food intake were analyzed. Age 63.70 +/- 14.46 years; 42% women. Units: Digestive (22.2%), Pneumology (42%), Internal Medicine (21.6%), Nephrology (9.1%), others (5.1%). Type of diet: basal (23%), therapeutic (67%), consistency (4%), progressive (3.4%), others (2.3%). It was compared the nursing CI vs. nutritionist (K=0.798; p<0.001), and the doctor vs. nutritionist (K=0.823; p<0.001). The S and Sp of nursing vs. nutritionist was 84% and 97% while between the doctor and the nutritionist was 84% and 98% respectively. Conclusions: the concordance of the results of a CI of 72 hours (intakes < or > to 50%) performed in patients hospitalized by a doctor, nurse, and nutritionist is high, minimizing subjectivity to this parameter. The CI is helpful for its use within the routine clinical practice, and particularly within the nutritional screenings, such as CIPA.